Provider Demographics
NPI:1912317074
Name:BUMBICO, JOSIE BETH
Entity type:Individual
Prefix:MISS
First Name:JOSIE
Middle Name:BETH
Last Name:BUMBICO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1926 CLERMONT AVE NE
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44483-3524
Mailing Address - Country:US
Mailing Address - Phone:330-319-0063
Mailing Address - Fax:
Practice Address - Street 1:2047 CELESTIAL DR NE
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44484-3972
Practice Address - Country:US
Practice Address - Phone:330-856-1237
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-29
Last Update Date:2014-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide